NPI | 1932248259 |
---|---|
Former Legal Business Name | VERDE VALLEY GUIDANCE CLINIC, INC. |
Entity Type | Organization |
Authorized Contact | CORINNE BAILEY Credentialing Specialist 928-634-2236 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ BH-2871) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2023-09-11 |